title: Implementing antiretroviral therapy programs in resource-constrained settings: lessons from Monze, Zambia.
abstract: We describe the impact of an antiretroviral therapy program on human resource utilization and service delivery in a rural hospital in Monze, Zambia, using qualitative data. We assess project impact on staff capacity utilization, service delivery, and community perception of care. Increased workload resulted in fatigue, low staff morale, and exacerbated critical manpower shortages, but also an increase in users of antiretroviral therapy, improvement in hospital infrastructure and funding, and an overall community satisfaction with service delivery. Integrating HAART programs within existing hospital units and services may be a good alternative to increase overall efficiency.
authors.affiliation: Centre for Public Health Sciences, Albert Einstein College of Medicine, Bronx, New York 10461, USA. adebola.adedimeji@einstein.yu.edu
authors.forename: Adebola
authors.initials: A
authors.lastname: Adedimeji
authors.forename: Oliver
authors.initials: O
authors.lastname: Malokota
authors.forename: Ogenna
authors.initials: O
authors.lastname: Manafa
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy*; D023241:Antiretroviral Therapy, Highly Active; D003695:Delivery of Health Care; D005260:Female; D006284:Health Plan Implementation; D006295:Health Resources / Q000706:statistics & numerical data*; D006280:Health Workforce; D006780:Hospitals, Rural; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D015024:Zambia